**Please Print this form, fill it out and return it with your payment **

HORICON MARSH GOOSE HUNT

QUALITY GUIDED HUNTS ON PRIVATE FARMS

Three Day Hunt

Sat., Oct. 11, Sun., Oct. 12, & Mon., Oct. 13, 2008

                                 Wisconsin DNR sets the goose tag limit per day.

                                Last year's goose tag limit was six tags per person.

 

Come on out, have a fun weekend and enjoy guided hunts on private farms.

 

THREE DAY HORICON MARSH GOOSE HUNT - $550.00

 

$275.00 Deposit reserves your hunting spot.

Balance of $275.00 is due prior to July 20, 2008

The $550.00 must be paid in full by July 20, 2008

because of Wisconsin DNR Permit Application for Tags deadline.

No tags will be applied for unless fee is paid in full prior to July 20,2008

Request/or single room is $125.00 extra.

Steak Fry at AmericInn Waupun on Sunday.

NO REFUNDS AFTER AUGUST 1, 2008

 

ACCOMMODATIONS INCLUDE:

 

For Reservations or Information, Please Call

Don (219) 322-1545 or Paul Mazerik (219) 644-8409

or write to

WATERFOWL U.S.A.

1707 S. Cline Ave., Griffith, IN 46319

www.nwiwusa.org

 


           

WATERFOWL U.S.A.

Northwest Indiana Chapter

2008 Horicon Goose Hunt Application

October 11, 12, and 13, 2008

Please print or type the following for DNR goose permit application purposes only. We do not sell or circulate this confidential information.:

 

Name:

_____________________________________________________________________________

First                                         Middle                                                    Last

 

Address:

_____________________________________________________________________________

             City:                                                   State                                                            Zip

 

(______)- _____________-____________           _____________________________________

Phone:                                                                    Birth Date:

 

____________________    __________________     _______________     ________________

Hair Color                            Eye Color                         Weight                         Height:

 

Social Security Number

Required by WI DNR    ___________- ___________-___________

 

 

_____________________________________________________

Email Address:

 

 

Please provide Name of Room Sharing Person(Partner): Single rooms will incur an additional

fee and are limited and assigned on a first hunt deposit received basis.

 

 

Please Check Type of Room. _________Smoking     __________Non Smoking

 

 

 

Signature_____________________________________________________________________

 

 

Note: Layout Blinds May Be Used If Fields Dictate

 

 

Please Return completed application with deposit of $275.00 payable to:

 

Waterfowl U.S.A

Northwest Indiana Chapter

1707 South Cline Avenue

Griffith, Indiana 46319